Percent of Cancer Patients Admitted to ICU during the Last Month of Life
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    Percent of Cancer Patients Admitted to ICU during the Last Month of Life
    (Year: 2012; Region Levels: State)
    Wyoming 18.1%
    Wisconsin 19.9%
    West Virginia 31.1%
    Washington 27.5%
    Virginia 32.3%
    Vermont 19.2%
    Utah 24.5%
    Texas 33.8%
    Tennessee 31.7%
    South Dakota 18.0%
    South Carolina 29.1%
    Rhode Island 20.9%
    Pennsylvania 32.6%
    Oregon 21.7%
    Oklahoma 27.4%
    Ohio 31.1%
    North Dakota 14.4%
    North Carolina 27.3%
    New York 21.7%
    New Mexico 27.6%
    New Jersey 38.2%
    New Hampshire 19.2%
    Nevada 40.5%
    Nebraska 25.2%
    Montana 24.5%
    Missouri 31.6%
    Mississippi 24.5%
    Minnesota 17.1%
    Michigan 30.3%
    Massachusetts 20.9%
    Maryland 27.4%
    Maine 16.9%
    Louisiana 26.8%
    Kentucky 29.3%
    Kansas 26.8%
    Iowa 20.4%
    Indiana 29.5%
    Illinois 35.1%
    Idaho 20.4%
    Hawaii 27.2%
    Georgia 29.1%
    Florida 37.6%
    District of Columbia 28.9%
    Delaware 27.4%
    Connecticut 29.3%
    Colorado 25.3%
    California 40.6%
    Arkansas 24.5%
    Arizona 37.7%
    Alaska 21.9%
    Alabama 29.4%
    National Average 30.2%
    90th Percentile 37.6%
    50th Percentile 27.4%
    10th Percentile 18.1%
        • We identified a 20% sample of all Medicare beneficiaries who died between the ages of 66 and 99 years during the period 2003-07. Data for 2010-12 are based on a 100% sample of claims. We excluded beneficiaries without continuous Part A and Part B coverage in the last six months of life or who were enrolled in Medicare health maintenance organizations (i.e., Medicare Advantage). From these decedents, we identified those with poor prognosis cancer diagnoses on at least one hospital claim or at least two clinician visits in the last six months of life. We then categorized decedents into one of 26 cancer types based on their predominant cancer diagnosis using a modified Clinical Classification Software (CCS) approach; please see the Methods of our cancer report for details.

        • ADJUSTMENTS:
        • Although all of these patients died of serious cancer, groups of patients across hospitals or regions may have differed by other characteristics such as the composition of age, sex or race. All rates are adjusted with the following patient level characteristics: age, race (black/non-black), sex, cancer type, and non-cancer chronic conditions.


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    The Dartmouth Atlas of Health Care is based at The Dartmouth Institute for Health Policy and Clinical Practice and is supported by a coalition of funders led by the Robert Wood Johnson Foundation, including the WellPoint Foundation, the United Health Foundation, the California HealthCare Foundation, and the Charles H. Hood Foundation.